Session 1: The basics

1. Session 1: The basics June 27, 2013

2. Goals for Session 1 Understand how and why to register for the Campaign Become familiar with the mechanics of the AE Hospitalizations Tracking Tool (Excel), the specific data required to complete the tool, how to enter data, and how to check your data. Know the kind of information produced by entering required fields only and how to use it.

3. Poll • Are you registered for the Advancing Excellence in America’s Nursing Homes Campaign? • Yes • No

4. About the Campaign • National, Voluntary, Aligned • Registered Participant •  Register/Update Profile •  Select Goals • Active Participant •  Submit Data www.nhqualitycampaign.org

5. Why Register AND Enter Data? • Only those who register and enter data can participate fully in the Campaign: • Instant access to trend graphs of your progress over time • Access to comparative data at state and national level • Let consumers know you’re dedicated to quality care www.nhqualitycampaign.org

6. Quality Improvement Resources for NINE Goals Hospitalizations Staff Stability Pressure Ulcers Infections C. difficile Medications Antipsychotics Consistent Assignment Mobility Person-Centered Care Pain Management

7. Organizational Goals Hospitalizations Staff Stability Pressure Ulcers Infections C. difficile Medications Antipsychotics Consistent Assignment Mobility Person-Centered Care Pain Management

8. Today’s Goal Hospitalizations Staff Stability Pressure Ulcers Infections C. difficile Medications Antipsychotics Consistent Assignment Mobility Person-Centered Care Pain Management

9. Poll • Have you tried downloading or using the AE Safely Reduce Hospitalizations Tracking Tool yet? • Yes • No

12. Data and the Quality Improvement Process Month 1 How do I know where I am?

13. Required Fields Month 1 Homework • For Residents Recently Discharged from Hospital • Resident name • Date discharged from hospital • Status on admission to nursing home from hospital (Part A, Other) • For Residents Transferred to Hospital • Resident name • Purpose of nursing home stay • (PAC-type Care/Chronic Long Term Care) • Date of transfer to hospital • Outcome of transfer • For Your Home (or the group within your home you are tracking) • ADC (or mid-month census) by purpose of stay

14. Homework 1 Information Entering data the first month doesn’t JUST get us our outcome measures. Enter data on a daily basis, and use this sheet to identify residents at risk for a 30-day readmission. Residents highlighted yellow are on your ‘Daily Hospital Walking Rounds.’

15. Homework 1 Information Entering data the first month doesn’t JUST get us our outcome measures for the first month. Transfers highlighted in RED are 30-day readmissions. These deserve a special look.

16. Homework 1 Information How do I know where I am? 30-Day Readmission Rate Hospital Admission Rate Rate of Transfers to ED Only Rate of Transfers Resulting in Observation Stay

17. The Tracking Tool AE_SafelyReduceHospitalizationsTrackingTool.xls AE_SafelyReduceHospitalizationsINSTRUCTIONS.xls www.NHQualityCampaign.org

18. Homework

19. Goals & Homework

20. Register & Select Goals To register for the campaign, go to the AE Homepage: www.nhqualitycampaign.orgClick on the Enroll Now button, and follow the instructions. To select new goals, log in to the AE Website, and click ‘Update My Goal Selection.’ • Forgot your password? • Try the automatic help on the login screen • Contact your QIO (link from the log-in page to find your • QIO contact) •  help@nhqualitycampaign.org

21. Find Tracking Tool From the AE Homepage: www.nhqualitycampaign.orgClick on the marquee. Find goal-specific material through the left-side navigation pane. The Tracking Tools and instructions are located in the Identify Baseline area Right click and select open hyperlink to go to this page: Identify Baseline

22. Download Tool and Instructions Click on the blue file name to open/download file. SAVE the Excel file to your computer. Print Instructions for easy reference while working with the Excel file.

23. Many sheets have hyperlinked names in the table of contents. Click on the named tabs to move between worksheets. You must use this method to access monthly outcome sheets.

24. Look! Click here for instructions on copying and pasting your lists from another source. For this first homework, only enter resident names. Enter names of all residents in house, and add any new admissions during the month. You may copy and paste this from another source.

25. At the end of each month, fill in your average daily census for Post Acute and Long-Term

26. The 3 required fields are marked with a red asterisk. Type in date, but use dropdown lists for name and status on admission.

27. Check numbers admittedwith recent discharge These numbers are the numerators for your monthly 30-day readmission rates. This table is located at the far right of your “Admitted” Tab. There are two tables. This is the lower one, and displays admissions by date of DISCHARGE from hospital.

28. The 4 required fields are marked with a red asterisk. Type in date, but use dropdown lists for name and status on admission.

29. There are two tables on each monthly tab. For now, we just want to check the numbers – numerators and denominators – on the lower table. Monthly outcome data are on individual tabs to the far right of the workbook. Use these arrow buttons to scroll across tabs until you can see them. You will be checking numbers in both the June and July tabs.

30. The Tracking Tool AE_SafelyReduceHospitalizationsTrackingTool.xls

31. help@nhqualitycampaign.org

32. Resources www.nhQualityCampaign.org Click Resources, and then Webinars Campaign and Website Overview Hospitalization Goal Overview Carol J. Scott Field Operations Manager Advancing Excellence cscott@leadingage.org 816-830-0094 Adrienne Mihelic, PhD Advancing Excellence HelpDesk CFMC help@nhqualitycampaign.org

33. Thank You For making our nursing homes better places to live, work, and visit!